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Deactivated NPI 1619198173 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Russell Holcomb , DDS

Dentist • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Holcomb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2007
NPI Deactivation Date July 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Holcomb, DDS was a registered Dentist practicing in Springfield, IL. Throughout an active medical career spanning 13 years, Dr. Holcomb provided care at the practice location at 1001 CLOCK TOWER DR until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

1001 Clock Tower Dr

Springfield, IL 627041383

Telephone 2177870440
Fax 2177870353
Associated Practice Facility / Clinic
🏢 Chauncey Cross Dds Ltd Facility NPI 1942475835

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
68 Specialists

Practicing in Springfield, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 19A12719

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1710329271

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1001 CLOCK TOWER DR, SPRINGFIELD, IL 627041383 (Tel: 2177870440)

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Updated Business Mailing Address July 08, 2007

Registered at 1001 CLOCK TOWER DR, SPRINGFIELD, IL 627041383 (Tel: 2177870440)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY HOLCOMB, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19A12719 in IL)

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Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619198173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 08, 2007
Deactivation Date: July 17, 2020

Mailing Address

1001 Clock Tower Dr

Springfield, IL 627041383

Phone: 2177870440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.